NPI 1417126608

Guiding Light Assistant Living Home

Organisation Assisted Living Facility Eagle River, AK

Practice location

Address: 11522 Aurora St, Eagle River, AK 99577-7846
Phone: (907) 227-6892
Fax: (907) 726-2902

Authorised official

Name: Yolanda Jackson
Title: Administrator/Owner
Phone: (907) 227-6892

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 100652 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1417126608
Entity type: Organization
NPI issued: 21 Feb 2008
Record last updated: 13 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.